Participant Registration

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Riverland Hills Baptist Church

Location

201 Lake Murray Boulevard

Irmo, SC 29063

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Contact Talor Gamble:

803-772-3227

Talor@riverlandhills.org

First, Tell Us About Yourself:

Parent Information

VBS is for children born on or before September 1, 2019. Please check the box below if the child(ren) you are registering fit this criteria.

This field is required.

Registration is complete when you click Register at the end of this form and receive a confirmation email. If you do not receive a confirmation email within 24 hours please contact Talor in the church office at 803-772-3227 or talor@riverlandhills.org.

Information packets will be e-mailed the week of June 3rd. This packet will include your group assignment, where to get security tags, map, and other important details about the week.

*Only register children for which you are the Parent/Legal Guardian.

First Name

This field is required.

Last Name

This field is required.

Address 1

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City

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State/Province

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ZIP/Postal Code

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Contact Phone 1

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Emergency Contact Name for participant(s)

This field is required.

Emergency Contact Relationship

This field is required.

Emergency Contact Phone

This field is required.

Do you have a home church? If so, what is your home church?

This field is required.

I agree to the Participation Agreement and the Photo/Video Permission and Release listed below.

This field is required.

Participation Agreement

I, parent or guardian, of the listed child(ren), acknowledge and accept the risk of physical injury associated with participation in Vacation Bible School. Except for gross negligence on the part of the sponsor, I accept personal financial responsibility for any bodily or personal injury sustained during the activity. Further, I promise to hold harmless the sponsoring organization and its representatives for any injury related to the activity. If a dispute over this agreement or any claim for damages arises, I agree to resolve the matter through a mutually acceptable arbitration process.

Refusal to accept the above agreement and release results in the child(ren) not being able to attend Riverland Hills Baptist Church Vacation Bible School.

Photo/Video Permission & Release

I, parent or guardian, of the listed child(ren), hereby authorize Riverland Hills Baptist Church (RHBC) and/or their agents to take photograph(s) and/or videos during VBS. I also understand that these photographs and/or videos will be used in print and/or on the RHBC website. I specifically understand that RHBC shall hereby retain any and all rights in respect to the photograph(s) and/or video/film project(s) and/or website/internet project(s), including but not limited to, the rights to reproduce, copy/edit, exhibit, publish, or distribute such photograph(s) and/or video/film project(s) and/or website/internet project(s). I further understand that photographs and/or videos may be used in a publication, print-ad, direct mail piece, electronic media (e.g. Social Media, Internet/WWW), or other form of promotion. I release RHBC, RHBC employees, RHBC designees and the photographer/videographer from liability for any violation of any personal or proprietary right I may have in connection with such use.

Tell Us About Your Participant

*Only register children for which you are the Parent/Legal Guardian.

VBS Participants

Answer questions below based on the Grade Level for the 2023/2024 school year.

All VBS Participants must have been born ON or BEFORE SEPTEMBER 1, 2019.

First Name

This field is required.

Last Name

This field is required.

Grade Leaving

This field is required.

Gender

This field is required.

Date Of Birth

This field is required.

Allergies

This field is required.

Medical/Other Concerns

This field is required.

Registration is complete when you click Register and receive a confirmation email. If you do not receive a confirmation email within 24 hours please contact Talor in the church office at 803-772-3227 or talor@riverlandhills.org.

Information packets will be e-mailed the week of June 3rd. This packet will include your group assignment, where to get security tags, map, and other important details about the week.

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